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Experiences with a new surgical technique for closure of large perforations of the nasal septum in 55 patients

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Abstract:

Background:

The surgical closure of nasal septal perforation is still an unsolved clinical problem. In this study the experiences with a novel surgical technique for closure of large perforations of the nasal septum are presented.

Methods:

A total of 55 patients with symptomatic nasal septal perforation measuring 23 ± 3 mm (range, 11‐38 mm) at the widest point were enrolled in the study. The closure of the nasal septal perforation was performed with a new and simple surgical technique using a nasal mucosal flap consisting of the defect-corresponding mucosa of the floor of the nose, inferior nasal meatus, and inferior turbinate.

Results:

A symptomatic improvement of nasal symptoms was noted in all treated patients. In only 3 of 55 cases was the perforation closing incomplete.

Conclusion:

Our experience with this flap shows its reliability and safety in repairing large nasal septal perforations, with many advantages compared with other techniques for septal perforation repair.

Keywords: Closure; mucosal flap; nasal septal perforation; nasal septum; repair; technique

Document Type: Research Article

DOI: http://dx.doi.org/10.2500/ajra.2011.25.3603

Affiliations: Department of Otolaryngology, Head and Neck Surgery, Philipp University, Marburg, Germany

Publication date: May 1, 2011

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